Hi A Ebers, I would say get to a support group but that sounds difficult, if you could make it once a month and set up a ride share for folks that live along the way that could help.
You need to find a way to get some control on your eating, at least that is what it sounds like to me. I have an idea on how you feel but I lost control of my intake of alcohol and I have AA for that. You need to find a group like TOPS or Weight Watchers that can help you and be your support group between bariatric support group meetings, I know that these groups are all over the country so hopefully there is a group near you, I dont know much about TOPS but I do know both men and women are welcome in Weight Watchers.
The good thing is you have caught yourself before you gained all your weight back, I see how it can be so frustrating because you have worked so hard and only to start back sliding. I do have a few suggestions but you must be diligant and honest with yourself.
1. Don't beat yourself up for getting off track, these things happen, learn from it and move on. Then call your nutritonist for some healthy eating tips.
2. Look at the 5 day pouch test it can help give you a jump start getting back on track:
http://www.americanbariatrics.org/content.php/80-Roux-en-Y-Gastric-Bypass-5-Day-Pouch-Test
3. Start journaling or at least tracking- what you eat, how much you eat, when you eat and how many times a day you eat. (I eat 5 to 6 small meals a day)
4. Do the same with your exercise routine and if you don't have one start one, a good start would be a 30 minute walk 4 to 5 times a week and build off of that as you start feeling better.
5. Weigh yourself once a week and no more often, just try and do it at the same time every week.
6. Drink at least 64 oz of fluids a day and remember no liquids 30 min. before and 45 min after your meals, that is very important to remember. The fluids wash the food out of our pouch making us feel hungry again.
7. Keep checking in with us and get to know others on this forum, we can be a great support group, we are all here to help each other but it only helps if you check in regularly.
I hope that helps a little. I know you can do it.
Tom